title: Appendicitis Diagnosed by Emergency Physician Performed Point-of-Care Transvaginal Ultrasound: Case Series.
abstract: Lower abdominal pain in females of reproductive age continues to be a diagnostic dilemma for the emergency physician (EP). Point-of-care ultrasound (US) allows for rapid, accurate, and safe evaluation of abdominal and pelvic pain in both the pregnant and non-pregnant patient. We present 3 cases of females presenting with right lower quadrant and adnexal tenderness where transvaginal ultrasonography revealed acute appendicitis. The discussion focuses on the use of EP- performed transvaginal US in gynecologic and intra-abdominal pathology and discusses the use of a staged approach to evaluation using US and computed tomography, as indicated.
authors.affiliation: North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York.
authors.forename: Robert
authors.initials: R
authors.lastname: Bramante
authors.forename: Marek
authors.initials: M
authors.lastname: Radomski
authors.forename: Mathew
authors.initials: M
authors.lastname: Nelson
authors.forename: Christopher
authors.initials: C
authors.lastname: Raio